Organization
JI MANAGMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C JI DMD (DOCTOR)
(804) 520-6050
Entity
Organization
Contact information
Practice address
798 SOUTH PARK BLVD, SUITE 12, COLONIAL HEIGHTS, VA 23834
(804) 520-6050
(804) 520-9140
Mailing address
798 SOUTH PARK BLVD, SUITE 12, COLONIAL HEIGHTS, VA 23834
(804) 520-6050
(804) 520-9140
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10425
VA
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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